STRUCTURE

Name			     			       First Name	

Sex  			Year of Birth			Country				

City 					          Address						        		           	            
Phone				Fax			    e-mail

Occupation					          City of activity

Neighborhood of activity						              Level

Date of Entry at the structure			       Orientator

Remarks 

ADHERENT

Name						        First Name

Sex 			Year of Birth		       Country				                

City				        	Address  						 		   
Phone				   Fax  			           e-mail

Occupation  						   City of activity 

Neighborhood of activity

Remarks